New Patient Paperwork
- Can be downloaded, printed and filled out prior to your appointment
- Prior to your signature there is an option available if you would like text/email reminders and/or potential promotions sent to your device.
Please make sure you give us permission to do so if you want these options.
Insurance/Cash Pay Breakdown
- Includes a breakdown of estimated service pricing based on what needs to be done during your appointment and our office fee.
- This is for both our uninsured patients as well as those with a deductible on their insurance.
- This is information for you, you do not have to print it out!
Medicare Breakdown
- Current 2023 annual deductible
- Breakdown of potential charges
- Estimated cost for our Medicare patients
Medicare Non-Covered Services
- Including a list of services Medicare will not cover
- Needs to be signed for acknowledgement as part of New/Return Patient Paperwork.